Feasibility and safety of the da Vinci Xi surgical robot for transoral robotic surgery

Olson, Birk; Cahill, Ellen M.; Imanguli, Matin

doi:10.1007/s11701-022-01449-y

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…Transoral robotic surgery provides clearer visualization of the operating field, allowing for precise wide excision of tumors that may be difficult to access, such as those located around corners obscured by dental structures, the tongue, mouth floor, deeper regions like the retropharyngeal margin, and even deeper extensions to the oropharynx [13,15,22]. The system's better lighting, angled view, and three-dimensional assistance enhance surgical precision.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, selecting a surgical approach for oral cancer treatment is a critical decision that directly influences patient outcomes and long-term survival. In the era of powered instrumentation, imaging advances, and emerging surgical technology, transoral robotic surgery (TORS) is executed with precision and dexterity via the natural oral orifice, which is utilized in head and neck oncologic surgeries to achieve minimally invasive or even scar-less surgery, reducing the need for extensive incisions and associated morbidities of open surgery [12][13][14][15]. TORS offers potential advantages, such as improved preservation of organ function, enhanced cosmetic outcomes, reduced postoperative complications, and shorter hospital stays [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region

Chang,

Chen,

Hsieh

et al. 2023

Cancers

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Oral cancer poses a major health challenge in Taiwan, consistently ranking among the highest globally in both incidence and cancer-related mortality. Transoral robotic surgery (TORS) has potential advantages over open surgery, but its long-term oncologic outcomes are not well established. In this study, we sought to elucidate the role of TORS in improving treatment outcomes among oral cancer patients. A case–control study with propensity score matching was conducted in a single teaching hospital in Taiwan. It included 72 oral cancer patients in each group to analyze and compare survival outcomes between the surgical approaches. The TORS group demonstrated a higher negative resection margin rate, a lower mortality risk and better overall survival than the open-surgery group. Multivariate Cox regression analysis confirmed TORS’s association with a reduced risk of death. Kaplan–Meier survival analysis and log-rank tests indicated significantly better survival outcomes for the TORS group across all cancer stages. Moreover, the TORS group exhibited improved overall survival rates for stage III and IV patients compared to the conventional open-surgery group. In conclusion, this study suggests that TORS may offer better overall survival rates and potential advantages over conventional surgery for oral cancer treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region

Chang,

Chen,

Hsieh

et al. 2023

Cancers

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“…Compared with this, the "3 + 1" mode reduces the puncture hole in the abdominal wall, avoids the mechanical damage caused by lifting, traction, and compression of the No. 3 arm, reduces the tissue damage caused by mechanical invasion, and greatly improves the comfort and safety of surgery [23].…”

Section: Discussionmentioning

confidence: 99%

Comparison of effectiveness and safety of Da Vinci robot’s “3 + 1” and “4 + 1” modes of treatment for colorectal cancer

Wang,

Wu,

Huang

et al. 2023

J Robotic Surg

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ObjectiveTo compare the effectiveness of the Da Vinci Surgical Robot System (DSRS) "3 + 1" and "4 + 1" models for colorectal cancer (CRC). MethodsA total of 107 patients with CRC admitted to our hospital from February 2021 to May 2022 were selected for the retrospective analysis. Of these, 57 patients underwent the DSRS "4 + 1" model (control group), while the rest 50 underwent the DSRS "3 + 1" model (research group). The operation time, intraoperative bleeding, number of lymph nodes detected, time of rst postoperative urinary catheter removal, time of rst feeding, time of rst venting and hospitalization were compared between the two groups. The changes of white blood cell (WBC) and C-reactive protein (CRP) levels before and after surgery were detected, and patients' adverse effects and treatment costs between surgery and hospital discharge were counted. The Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) were used to assess the psychological state of the patients. ResultsThere was no difference in operative time, intraoperative bleeding, and number of lymph nodes detected between both groups (P > 0.05), while time to rst postoperative urinary catheter removal, time to rst feeding, time to rst venting, length of stay (LOS), postoperative in ammatory factor levels, incidence of adverse events, and treatment costs were all lower in the research group than in the control group (P < 0.05). SAS and SDS scores decreased after treatment in both groups, but the decrease was more obvious in the research group (P < 0.05). ConclusionBoth DSRS "4 + 1" and "3 + 1" modes have better treatment effects for CRC. But the "3 + 1" mode has higher safety and lower treatment cost, which can signi cantly improve the postoperative recovery process of patients and is more worthy to be promoted in clinical practice.

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Comparison of effectiveness and safety of Da Vinci robot’s “3+1” and “4+1” modes of treatment for colorectal cancer

Wang¹,

Wu²,

Huang³

et al. 2023

Preprint

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Objective To compare the effectiveness of the Da Vinci Surgical Robot System (DSRS) “3 + 1” and “4 + 1” models for colorectal cancer (CRC).Methods A total of 107 patients with CRC admitted to our hospital from February 2021 to May 2022 were selected for the retrospective analysis. Of these, 57 patients underwent the DSRS “4 + 1” model (control group), while the rest 50 underwent the DSRS “3 + 1” model (research group). The operation time, intraoperative bleeding, number of lymph nodes detected, time of first postoperative urinary catheter removal, time of first feeding, time of first venting and hospitalization were compared between the two groups. The changes of white blood cell (WBC) and C-reactive protein (CRP) levels before and after surgery were detected, and patients’ adverse effects and treatment costs between surgery and hospital discharge were counted. The Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) were used to assess the psychological state of the patients.Results There was no difference in operative time, intraoperative bleeding, and number of lymph nodes detected between both groups (P > 0.05), while time to first postoperative urinary catheter removal, time to first feeding, time to first venting, length of stay (LOS), postoperative inflammatory factor levels, incidence of adverse events, and treatment costs were all lower in the research group than in the control group (P < 0.05). SAS and SDS scores decreased after treatment in both groups, but the decrease was more obvious in the research group (P < 0.05).Conclusion Both DSRS “4 + 1” and “3 + 1” modes have better treatment effects for CRC. But the “3 + 1” mode has higher safety and lower treatment cost, which can significantly improve the postoperative recovery process of patients and is more worthy to be promoted in clinical practice.

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Feasibility and safety of the da Vinci Xi surgical robot for transoral robotic surgery

Cited by 3 publications

References 27 publications

Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region

Clinical Characteristics and Treatment Outcomes of Oral Cancers Using Transoral Robotic Surgery in an Endemic Region

Comparison of effectiveness and safety of Da Vinci robot’s “3 + 1” and “4 + 1” modes of treatment for colorectal cancer

Comparison of effectiveness and safety of Da Vinci robot’s “3+1” and “4+1” modes of treatment for colorectal cancer

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